Q1.

Dietetic Intern Evaluation: Community Nutrition/Business

To better align our evaluation with the "Career Development Guide" from the Academy of Nutrition and
Dietetics, the Ball State Dietetic Internship has adjusted the terminology that is used. Please note the
following:
Definition of Performance Standards:
1. Proficient: Demonstrates additional knowledge, skills, and experience in a focus area of dietetics
practice; above entry-level practice
2. Competent*: Demonstrates sound knowledge, confidence, and effective use of entry level skills;
seeks assistance after investigating potential solutions
3. Beginner: Requires supportive or directive cues occasionally; applies principles accurately with
occasional cues; works at acceptable standards
4. Novice: Requires frequent supportive and occasional directive cues: identifies principles but needs
direction to identify application
5. Not applicable: not observed/not applicable
*The goal of the Ball State Dietetic Internship is to have 80% or more of interns attain a level of
competent for each ACEND competency.
Directions: Using the ratings above, please evaluate the intern on the following competencies:
NOTE: The online forms cannot be saved or edited after submission. Please e-mail
ljballenger@bsu.edu if you would like a copy e-mailed to you.

Q2. Please fill out the following information:

Intern name (First and Last):

Samantha Mcinerey

Facility:

University of Notre Dame

Preceptor Name (First and

Last):

Dwight Allison

Preceptor E-mail:

dallison@nd.edu

Date:

7/12/2016

Q3. Name of person completing the form (if different from the preceptor):

Q4. Based on the ratings on the first page, please evaluate the intern on the following competencies
related to Professional Attributes:
Novice Beginner Beginner
Proficient
_____
___ (7
___ (8 Competent Competent __ (10
Not
(6 pts)
pts)
pts)
__ (9 pts) __ (10 pts)
pts)
applicable
Prepare appropriately
for rotation
Demonstrate
collaboration/teamwork
Demonstrate proactive
problem-solving skills
Demonstrate customer
focus
Demonstrate risk-taking
Demonstrate critical
thinking
Demonstrate flexibility
Demonstrate time
management
Demonstrate work
prioritization
Demonstrate advocacy
Demonstrate work ethic

Demonstrate work ethic

Develop goals and
objectives
Respect life
experiences, culture
diversity, educational
background

Novice Beginner Beginner

Proficient
_____
___ (7
___ (8 Competent Competent __ (10
Not
(6 pts)
pts)
pts)
__ (9 pts) __ (10 pts)
pts)
applicable

Demonstrate
negotiation skills
Demonstrate
assertiveness
Develop effective oral
communication skills
Develop effective
written communication
skills
Use informatics
technology
Dress is appropriate for
given work setting

Q5. Please list any additional comments about the intern's Professional Attributes:
Samantha had a professional approach from the onset of this rotation. She assessed the work environment and adapted to the
culture. She did a great job making the most of this rotation by getting involved in all that we had going on. I was very impressed with
her comfort level in unique work environment.

Q12. Please comment on any of the BSU-Assigned Projects (if applicable):

Q6.
Please comment on the interns areas of strength:
Get the job done attitude which was supported by her organizational and time management skills Adaptability to changing
environment. Ability to prioritize tasks. Ability to take direction and execute projects as requested.

Q7. Please comment on the interns areas for improvement:

When working on projects have confidence in your work. (The micro managing side of me likes that you asked a lot of questions but I
wanted to see more of what you would do verse what I wanted at times) Be more creative and more detailed with the knowledge. ( I
admit that is difficult in this environment with so mush going on)

Q9. Please answer the following questions about the intern's attendance:
Please specify the number of
days the intern was late
during the rotation:

Please specify the number of

days the intern was absent
during the rotation:

Did the intern make up all if

the days days/hours he/she
was absent? (yes/no)

yes

If late or absent, the intern

contacted me ahead of time
to explain the situation?
(yes/no)

yes

Q10. Final Comments:

Great job! I enjoyed having you with our staff during a transition period for my staff. I would consider you a good entry level candidate.
I also wanted to mention that you did a good job blending in with the staff and make friends. You helped create a positive work
environment for all!

Q11. Would you hire this intern for employment? (yes/no) Any comments?
Yes, given the right job was available I think Samantha would make a great teammate.

Location Data
Location: (41.700698852539, -86.250099182129)
Source: GeoIP Estimation